Organization
POWAY INTENSIVIST MEDICAL GROUP, INC
Active
Organization
POWAY INTENSIVIST MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R BELL MD (PRESIDENT)
(310) 698-5452
Entity
Organization
Contact information
Practice address
15615 POMERADO RD, POWAY, CA 92064-2405
(858) 613-4000
Mailing address
898 N PACIFIC COAST HWY STE 600, EL SEGUNDO, CA 90245-2747
(310) 698-5452
(310) 379-4856
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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